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Rochelle Lee Jordan
Peer Specialist in Modesto, California
NPI 1861055394

Rochelle Lee Jordan is a Peer Specialist based in Modesto, CA. Rochelle Lee Jordan practices in Modesto, CA. The NPI Number for Rochelle Lee Jordan is 1861055394 and holds a License No. (California).

The current practice location address for Rochelle Lee Jordan is 920 16Th St Ste B, Modesto, CA and can be reached out via phone at 209-525-6150.

Location: 920 16Th St Ste B, Modesto, CA, 95354-1119
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1861055394
Provider Name
Rochelle Lee Jordan
Credential
Provider Entity Type
Individual
Gender
Female
Address
920 16Th St Ste B, Modesto, CA, 95354-1119
Phone Number
209-525-6150
Fax Number
Provider Enumeration Date
04/19/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
16795 01 CA COUNTY OF STANISLAUS
institution
Provider Business Practice Location Address Details
Address
920 16Th St Ste B
City
Modesto
State
California
Zip
95354-1119
Phone Number
209-525-6150
Fax Number
person
Provider Business Mailing Address Details
Address
920 16Th St Ste B
City
Modesto
State
California
Zip
95354-1119
Phone Number
209-525-6150
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
()
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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